| NPI | 1932639440 |
|---|---|
| Doing Business As | IDEAL MARKETPLACE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAMASWAMY GUMMADI Owner Ideal Marketplace Pharmacy 973-928-4576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00756600) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-06-16 |
| Last Update Date | 2018-07-27 |